A sports
hernia or athletic pubalgia is a condition which is caused by weakness of
the abdominal wall muscles or tendons. As a result of this weakness,
athletic activities which require high speed twisting, turning, jumping,
running, and cutting can often lead to a tear where the abdominal muscles
and tendons meet the bones of the pelvis. As a result of this tear or
weakness, the contents of the abdomen pushes out. This
pressure from the contents pushing out can often result in a pinching pain
and swelling in the groin and lower abdominal region. The image provided
displays the approximate region where the sports hernia can occur. This pain
is further increased with sudden movements such as running, jumping,
kicking, going up/down stairs, sneezing or coughing. Having a strong core
and abdominal muscles can help minimize occurrence of the injury, but having
good hip flexor flexibility plays an important role in prevention as
well.

Diagnosis

A sports
hernia can be diagnosed by a physician. There will be tenderness in the
region of the groin and where the bulge is likely occurring. Tests can be
performed to rule out other causes of groin & lower abdominal pain. A MRI
can also be performed to identify a tear.

Treatment

Conservative
treatments such as rest, anti-inflammatory medications, ice and physical therapy are
often tried first. However, once a sports hernia has been diagnosed surgery
is the primary means of repairing this injury. Recovery after surgery can
take anywhere from 4-52 weeks based on the severity of the injury and the
surgical procedure performed. Rehabilitation is often required after surgery
in order to return to sports.

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